Healthcare Provider Details

I. General information

NPI: 1619687498
Provider Name (Legal Business Name): BUERGO'S FAMILY BEHAVIOR SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/01/2022
Last Update Date: 03/30/2026
Certification Date: 03/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9532 GRIFFIN RD
COOPER CITY FL
33328-3416
US

IV. Provider business mailing address

6310 NW 63RD WAY
PARKLAND FL
33067-1518
US

V. Phone/Fax

Practice location:
  • Phone: 305-776-0296
  • Fax:
Mailing address:
  • Phone: 305-776-0296
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: GULENKA BUERGO
Title or Position: PRESIDENT
Credential:
Phone: 305-776-0296